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https://www.readbyqxmd.com/read/27858922/emphysematous-cholecystitis-in-a-young-male-without-predisposing-factors-a-case-report
#1
Ming-Yu Chen, Chen Lu, Yi-Fan Wang, Xiu-Jun Cai
This report describes the diagnosis and treatment for Emphysematous cholecystitis (EC) without predisposing factors, and reviews the current literature.A 49-year-old male without predisposition presented to emergency department with a two-day history of sudden onset abdominal pain, hypertension and received empirical antibiotics with Imipenem/Cilastatin 0.5 g via intravenous route every 8 hours. Computed tomography (CT)-scan revealed that air encircling gallbladder is the most important and accurate evidence for EC diagnosis...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27818813/familial-hemiplegic-migraine-with-severe-attacks-a-new-report-with-atp1a2-mutation
#2
E Martínez, R Moreno, L López-Mesonero, I Vidriales, M Ruiz, A L Guerrero, J J Tellería
Introduction. Familial hemiplegic migraine (FHM) is a rare disorder characterized by migraine attacks with motor weakness during the aura phase. Mutations in CACNA1A, ATP1A2, SCN1A, and PRRT2 genes have been described. Methods. To describe a mutation in ATP1A2 gene in a FHM case with especially severe and prolonged symptomatology. Results. 22-year-old woman was admitted due to migraine-type headache and sudden onset of right-sided weakness and aphasia; she had similar episodes in her childhood. Her mother was diagnosed with hemiplegic migraine without genetic confirmation...
2016: Case Reports in Neurological Medicine
https://www.readbyqxmd.com/read/27767988/a-novel-loss-of-function-grn-mutation-p-tyr229-%C3%A2-clinical-and-neuropathological-features
#3
Liina Kuuluvainen, Minna Pöyhönen, Petra Pasanen, Maija Siitonen, Jaana Rummukainen, Pentti J Tienari, Anders Paetau, Liisa Myllykangas
Mutations in the progranulin (GRN) gene represent about 5-10% of frontotemporal lobar degeneration (FTLD). We describe a proband with a novel GRN mutation c.687T>A, p.(Tyr229*), presenting with dyspraxia, dysgraphia, and dysphasia at the age of 60 and a very severe FTLD neuropathological phenotype with TDP43 inclusions. The nephew of the proband had signs of dementia and personality changes at the age of 60 and showed similar but milder FTLD pathology. Three other family members had had early-onset dementia...
October 20, 2016: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/27761229/neurosyphilis-with-normal-pressure-hydrocephalus-and-dementia-paralytica-serial-clinical-laboratory-and-radiological-correlations-in-the-21st-century
#4
Kamille Abdool, Karan Seegobin, Kanterpersad Ramcharan, Adrian Alexander, Leandra Julien-Legen, Stanley Lawrence Giddings, Samuel Aboh, Fidel Rampersad
We report a case of a 46-year-old man presenting with a progressive cognitive decline, ataxic gait, urinary incontinence for 4 months and neuroimaging consistent with normal pressure hydrocephalus. The atypical presentation of a progressively worsening dysphasia and a right hemiparesis dismissed as a vascular event 1 month earlier associated with normal pressure hydrocephalus prompted further investigations confirming neurosyphilis also manifesting as dementia paralytica. Treatment using consensus guidelines led to resumption of activities of daily living...
September 30, 2016: Neurology International
https://www.readbyqxmd.com/read/27761207/a-rare-presentation-of-primary-nasopharyngeal-carcinoma-npc-in-mediastinum
#5
Afshin Fathi, Firuz Amani, Mohammad Davoodi, Sara Bahadoram, Mohammad Bahadoram
INTRODUCTION: Nasopharyngeal carcinoma among the children has been rare accounting for only 1% of all pediatric malignancies. Both genetic and environmental factors have contributed to the development of nasopharyngeal carcinoma. Among the children there was a higher rate of undifferentiated histology. The mean age of nasopharyngeal carcinoma diagnosis has been 11 years old age; and the most common site was nasopharynx. Palpable lymphadenopathy, dysphasia and neural defect were common associated signs...
August 2016: Iranian Journal of Cancer Prevention
https://www.readbyqxmd.com/read/27695239/surgical-resection-of-low-grade-gliomas-in-eloquent-areas-with-the-guidance-of-the-preoperative-functional-magnetic-resonance-imaging-and-craniometric-points
#6
Ahmed Abdullah, Hisham El Shitany, Waleed Abbass, Amr Safwat, Amr K Elsamman, Ehab El Refaee
OBJECTIVES: Surgical resection of low-grade gliomas (LGGs) in eloquent areas is one of the challenges in neurosurgery, using assistant tools to facilitate effective excision with minimal postoperative neurological deficits has been previously discussed (awake craniotomy and intraoperative cortical stimulation); however, these tools could have their own limitations thus implementation of a simple and effective technique that can guide to safe excision is needed in many situations. MATERIALS AND METHODS: The authors conducted a retrospective analysis of a prospectively collected data of 76 consecutive surgical cases of LGGs of these 21 cases were situated in eloquent areas...
October 2016: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/27651410/rare-case-of-bilateral-traumatic-internal-carotid-artery-dissection
#7
Joanne May Jenkins, Joel Norton, Timothy Hampton, Robert Weeks
A 55-year-old man was working in a trench when the wall collapsed in on him, pinning him to the wall. On arrival in the emergency department the patient began reporting of right-sided headache. Neurological examination revealed left-sided reduced sensation with weakness. Whole-body CT scan showed right-sided flail chest and bilateral haemothorax as well as loss of flow and thinning of the distal right internal carotid artery (ICA) and loss of grey white matter differentiation in keeping with traumatic ICA dissection with a right middle cerebral artery (MCA) infarct...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27597383/cerebral-vasospasm-and-delayed-ischaemic-deficit-following-elective-aneurysm-clipping
#8
Anastasia Tsyben, Iddo Paldor, John Laidlaw
Although common after subarachnoid haemorrhage, cerebral vasospasm (CVS) and delayed ischaemic neurological deficit (DIND) rarely occur following elective clipping of unruptured aneurysms. The onset of this complication is variable and its pathophysiology is poorly understood. We report two patients with CVS associated with DIND following unruptured aneurysmal clipping. The literature is reviewed and the potential mechanisms in the context of patient presentations are discussed. A woman aged 53 and a man aged 70 were treated with elective clipping of unruptured middle cerebral artery aneurysms, the older patient also having an anterior communicating artery aneurysm clipped...
September 2, 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27405861/cultural-issues-of-the-national-institutes-of-health-stroke-scale-dysphasia-and-dysarthria-components-in-singapore-a-survey-of-healthcare-workers
#9
Kian K Queck, Natasha L Fabiaña, Fung P Woon, Deirdre Dy Tay, Chia T Oh, Wai M Ng, Deidre A De Silva
No abstract text is available yet for this article.
July 12, 2016: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/27400092/keyhole-transsylvian-resection-of-infiltrative-insular-gliomas-technique-and-anatomic-results
#10
Michael E Sughrue, Jad Othman, Steven A Mills, Phillip A Bonney, Adrian J Maurer, Charles Teo
AIM: Insular gliomas have traditionally been approached through variations of large frontotemporal craniotomies exposing much of the Sylvian fissure. Due to the importance of many structures exposed by such an approach, a less-invasive approach to these lesions is a viable alternative for resection. We present the technique and results of our keyhole transsylvian approach to remove infiltrating insular tumors. MATERIAL AND METHODS: A small linear incision and keyhole craniotomy is planned under image guidance to open a transsylvian window...
2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27384070/let-s-call-it-aphasia-rationales-for-eliminating-the-term-dysphasia
#11
Linda Worrall, Nina Simmons-Mackie, Sarah J Wallace, Tanya Rose, Marian C Brady, Anthony Pak Hin Kong, Laura Murray, Brooke Hallowell
Health professionals, researchers, and policy makers often consider the two terms aphasia and dysphasia to be synonymous. The aim of this article is to argue the merits of the exclusive use of the term aphasia and present a strategy for creating change through institutions such as the WHO-ICD. Our contention is that one term avoids confusion, speech-language pathologists prefer aphasia, scholarly publications indicate a preference for the term aphasia, stroke clinical guidelines indicate a preference for the term aphasia, consumer organizations use the title aphasia in their name and on their websites, and languages other than English use a term similar to aphasia...
July 6, 2016: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/27322680/usage-of-reversal-penetrating-technique-with-ancillary-trocar-in-minimally-invasive-ivor-lewis-esophagectomy
#12
Saibo Pan, Gang Shen, Ming Wu
OBJECTIVE: We present a "Reversal Penetrating Technique" (RPT) to perform thoracoscopic esophagogastric anastomosis in Ivor Lewis minimally invasive esophagectomy (MIE). The safety and efficiency of this technique are evaluated. PATIENTS AND METHODS: RPT was used in Ivor Lewis MIE for treating patients with distal esophageal cancer. A specific anvil set is inserted into proximal esophagus lumen to allow its prefixed Prolene suture to pierce from the inside out. Then, the suture is pulled until the anvil rod penetrates the esophageal wall...
June 20, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27313964/radiotherapy-related-intracranial-aneurysms-a-role-for-conservative-management
#13
Sayal Parag, Zafar Arif, Rajaraman Chittoor
BACKGROUND: Radiotherapy-related intracranial aneurysms are a recognized but rare phenomenon and often present following rupture leading to subarachnoid hemorrhage. Treatment poses a particular dilemma and both endovascular, and surgical approaches have been used with varied success. We present the case of a radiotherapy-related aneurysm treated conservatively with a favorable outcome. CASE DESCRIPTION: A 37-year-old man was diagnosed with a left temporal lobe mass for which he underwent an uneventful craniotomy and debulking...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27308091/a-refractory-arachnoid-cyst-presenting-with-tremor-expressive-dysphasia-and-cognitive-decline
#14
Nathan T Zwagerman, Jamie Pardini, Seyed H Mousavi, Robert M Friedlander
BACKGROUND: Arachnoid cysts are common incidental findings on intracranial imaging, although they are rarely symptomatic. CASE DESCRIPTION: We present a case of a 49 year-old woman with a recurrent left supraorbital arachnoid cyst who developed staring spells, expressive dysphasia, and tremor after cyst fenestration and cystoperitoneal shunting. Her symptoms resolved after removing the shunt valve and creating a valveless system. The case is discussed and the literature reviewed...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27284474/small-caliber-covered-self-expanding-metal-stents-in-the-management-of-malignant-dysphagia
#15
Stephen Kucera, James Barthel, Jason Klapman, Ravi Shridhar, Sarah Hoffe, Cynthia Harris, Khaldoun Almhanna, Kenneth Meredith
BACKGROUND: Use of large caliber [≥18 mm body diameter (BD)] self-expanding metal stents (SEMS) for management of malignant dysphasia is associated with substantial adverse event (AE) and mortality rates (MRs). We sought to determine dysphagia response, stent migration rates, and AE and MRs, for small caliber covered SEMS (sccSEMS) with BDs between 10-16 mm in malignant dysphagia. METHODS: Thirty-one patients underwent direct endoscopic placement of 50 sccSEMS between January 2008 and March 2011...
June 2016: Journal of Gastrointestinal Oncology
https://www.readbyqxmd.com/read/27262774/treatment-of-dysphasia-with-rtms-and-language-therapy-after-childhood-stroke-multimodal-imaging-of-plastic-change
#16
Helen L Carlson, Zeanna Jadavji, Aleksandra Mineyko, Omar Damji, Jacquie Hodge, Jenny Saunders, Mia Hererro, Michele Nowak, Rebecca Patzelt, Anya Mazur-Mosiewicz, Frank P MacMaster, Adam Kirton
Expressive dysphasia accompanies left inferior frontal gyrus (IFG/Broca) injury. Recovery may relate to interhemispheric balance with homologous, contralesional IFG but is unexplored in children. We evaluated effects of inhibitory rTMS to contralesional IFG combined with intensive speech therapy (SLT). A 15year-old, right-handed male incurred a left middle cerebral artery stroke. After 30months, severe non-fluent dysphasia impacted quality of life. Language networks, neuronal metabolism and white matter pathways were explored using MRI...
August 2016: Brain and Language
https://www.readbyqxmd.com/read/27255282/n-methyl-d-aspartate-nmda-receptor-antibodies-encephalitis-mimicking-an-autistic-regression
#17
Yael Hacohen, Sukhvir Wright, Jonathan Gadian, Angela Vincent, Ming Lim, Evangeline Wassmer, Jean-Pierre Lin
Expressive dysphasia and mutism are common clinical features in children and adults with N-methyl-d-aspartate receptor antibodies (NMDAR-Ab) encephalitis, and are likely to result from NMDAR hypofunction. A prodromal loss of social and communication skills can typify that of an autistic regression, particularly when presenting under the age of 3 years. Here we describe two toddlers who presented with developmental regression, particularly of their social communication skills, mimicking an autistic regression, who were found to have NMDAR-Ab in the serum and cerebrospinal fluid...
October 2016: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/27222677/complex-partial-seizure-as-a-manifestation-of-non-ketotic-hyperglycemia-the-needle-recovered-from-haystack
#18
Khairil Amir Rani, Mohamed H Ahmed, Louise Dunphy, Yousif Behnam
We present a case of a 75-year-old gentleman with undiagnosed type 2 diabetes mellitus presenting with acute onset expressive dysphasia and right hemi-paresis with no prior history of seizure. He developed clusters of stereotypical complex partial seizures which were refractory to anti-epileptic agents. He was not known to have diabetes and his brain MRI was normal. His random blood sugar measurement on admission to hospital was 30 mmol/L with HbA1c measurement of 14.8%. His seizures terminated completely when his hyperglycemia was corrected with insulin and rehydration therapy...
June 2016: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/27200161/capecitabine-induced-leukoencephalopathy-involving-the-bilateral-corticospinal-tracts
#19
Mark Bang-Wei Tan, Louis Elliott McAdory
An 80 year old lady with a history of metastatic sigmoid carcinoma presented with expressive dysphasia and unsteady gait 4 days after commencement of adjuvant capecitabine chemotherapy. MRI demonstrated restricted diffusion and T2/FLAIR hyperintensity involving the course of the bilateral corticospinal tracts, the corpus callosum and the middle cerebellar peduncles. Discontinuation of chemotherapy lead to symptom resolution in 2 days; repeat MRI at 2 months demonstrated reversal of the diffusion changes and improvement of the previous T2W/FLAIR hyperintensity...
March 2016: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/27170952/headache-dysphasia-and-a-left-temporal-lobe-mass-question
#20
Kiryu K Yap, David Oehme, Tiew F Han
No abstract text is available yet for this article.
February 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
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